Information
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Site Name
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Site Address
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This verification Dossier is based on the new AS/NZS60079.14:2009 requirements.
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Document No.
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Conducted on
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Personnel
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Prepared by - Company
Test Quipment Used
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Test equipment
Tester Used
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Select
- Fluke 322 Digital Clamp Meter
- Fluke 1652V Multifunction Tester
- Megger MFT1825
- Fluke 233 Digital Multimeter
- Deree De-3100 Digital Clamp meter
- Fluke 77 IV Multimeter
- KYORITSU 2012 Digital Clamp Meter
- KYORITSU 6010A Multifunction Tester
- Other
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Details
Equipment Details
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Electrical Equipment Details
Equipment
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Equipment Name
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Other
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- ATG Console
- ATG Probe 91
- ATG Probe F10
- ATG Probe Diesel
- ATG Probe E85
- Emergency Exit Sign
- Hi-bay Light
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Details
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Equipment Manufacturer
- Gallagher Fuel Systems
- PEC Fuel Pumps
- Compac Industries
- Veeder-Root
- Honeywell
- CSE
- STAHL
- Other
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Details
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Equipment Model No.
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Details
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Equipment Serial No.
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Manufacture Date
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Equipment Certification
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Details
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Certificate No.
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Method of protection
- Ex 'd' (Flameproof)
- Ex 'e' (Increased Safety)
- Ex 'ia' (Intrinsically Safe)
- Ex 'ib' (Intrinsically Safe)
- Ex 'm' (Encapsulation)
- Ex 'n' (Non Sparking)
- Ex 'o' (Oil Immersed)
- Ex 'p' ( Pressurisation)
- Ex 'q' (Encapsulation)
- Ex 's' (Special Protection)
- Ex 'v' (Ventilation)
- Other
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Details
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GAS Group
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Details
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Temperature Classification
- T1
- T2
- T3
- T4
- T5
- T6
- N/A
- Other
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Details
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Phase
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Voltage Rating
- 220 Volts
- 230 Volts
- 240 Volts
- 24 Volts DC
- 12 Volts DC
- Other
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Details
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Current rating (amps)
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Power Rating
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KW Rating
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HP Rating
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IP Rating
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Photo of equipment label
Cable & Glands
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Cable & Glands
Cable
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Equipment Supplied
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Other
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- ATG Console
- ATG Probe 91
- ATG Probe F10
- ATG Probe Diesel
- ATG Probe E85
- Emergency Exit Sign
- Hi-bay Light
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Details
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Cable type
- 2c 1.5mm2 SWA
- 2c + E 1.5mm2 SWA
- 4c 1.5mm2 SWA
- 7c 2.5mm2 SWA
- 3c 2.5mm2 SWA
- 4c 2.5mm2 SWA
- 2c + E 2.5mm2 SWA
- 2c + E 4.0mm2 SWA
- 2c + E 6.0mm2 SWA
- 3c 4.0mm2 SWA
- 2c 1.5mm2 Screened
- Other
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Details
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Cable purpose
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Details
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Cores terminated correctly
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Spare cores bonded to earth
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Identification liable fitted
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Ex Gland Manufacturer
- Peppers
- CCG
- COOPER Crouse-Hinds
- STAHL
- CMP
- Other
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Details
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Method of Protection
- Ex 'd' (Flameproof)
- Ex 'e' (Increased Safety)
- Ex 'ia' (Intrinsically Safe)
- Ex 'ib' (Intrinsically Safe)
- Ex 'm' (Encapsulation)
- Ex 'n' (Non Sparking)
- Ex 'o' (Oil Immersed)
- Ex 'p' ( Pressurisation)
- Ex 'q' (Encapsulation)
- Ex 's' (Special Protection)
- Ex 'v' (Ventilation)
- Other
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Details
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GAS Group
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Details
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Temperature Class
- T1
- T2
- T3
- T4
- T5
- T6
- N/A
- Other
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Details
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IP Rating
- IP 20
- IP 22
- IP 56
- IP 66
- N/A
- Other
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Details
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Suitable for application
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Terminated correctly
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Outer Sheath fully clamped (No SWA showing)
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Add media
Insulation Resistance
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Insulation Resistance
Test
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Equipment Name
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Other
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- ATG Console
- ATG Probe 91
- ATG Probe F10
- ATG Probe Diesel
- ATG Probe E85
- Emergency Exit Sign
- Hi-bay Light
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Details
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Cable Type
- 2c 1.5mm2 SWA
- 2c + E 1.5mm2 SWA
- 4c 1.5mm2 SWA
- 7c 2.5mm2 SWA
- 3c 2.5mm2 SWA
- 4c 2.5mm2 SWA
- 2c + E 2.5mm2 SWA
- 2c + E 4.0mm2 SWA
- 2c + E 6.0mm2 SWA
- 3c 4.0mm2 SWA
- 2c 1.5mm2 Screened
- Other
Core
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Result (MΩ)
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Details
Equipotential Bonding Tests
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Equipotential Bonding
Test
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Item Tested
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- Vent Pipes
- Fill Point 91
- Fill Point F10
- Fill Point Diesel
- Fill Point E85
- Fill Point 95
- Fill Point 96
- Fill Point 98
- Vapour Recovery Point
- Manway Lid 91
- Manway Lid F10
- Manway Lid Diesel
- Manway Lid 95
- Manway Lid 96
- Manway Lid 98
- Canopy Structure
- Dip Point 91
- Dip Point F10
- Dip Point Diesel
- Dip Point E85
- Dip Point 95
- Dip Point 96
- Dip Point 98
- Other
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Result (Ω)
Protection & Isolation
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Protection & Isolation
Equipment
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Equipment Name
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Other
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- ATG Console
- ATG Probe 91
- ATG Probe F10
- ATG Probe Diesel
- ATG Probe E85
- Emergency Exit Sign
- Hi-bay Light
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Details
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Circuit Protection
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Type
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Details
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Poles
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Details
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Current Rating
- 2A
- 4A
- 6A
- 10A
- 16A
- 20A
- 25A
- 32A
- 40A
- 50A
- 63A
- Other
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Details
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kA Rating
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Details
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Isolation Switch
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Double Pole Isolation
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Lockable Isolation
Point to Point Tests
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Point to Point
Test
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Equipment Name
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Other
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- ATG Console
- ATG Probe 91
- ATG Probe F10
- ATG Probe Diesel
- ATG Probe E85
- Emergency Exit Sign
- Hi-bay Light
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Details
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Cable Function
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Cable Type
- 2c 1.5mm2 SWA
- 2c + E 1.5mm2 SWA
- 4c 1.5mm2 SWA
- 7c 2.5mm2 SWA
- 3c 2.5mm2 SWA
- 4c 2.5mm2 SWA
- 2c + E 2.5mm2 SWA
- 2c + E 4.0mm2 SWA
- 2c + E 6.0mm2 SWA
- 3c 4.0mm2 SWA
- 2c 1.5mm2 Screened
- Other
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Point to Point Tests Completed
Core
Certificates of Conformity
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Certificate of Conformity
- Fuel Dispensers / Pumps
- Submersible Pumps
- Automatic Tank Gauging
- Ex Glands
- Ex Reducers
- Other
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Details
Evidence Photos
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Evidence Photos
Item
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Item
- Dispenser 1&2
- Dispenser 3&4
- Dispenser 5&6
- Dispenser 7&8
- Dispenser 9&10
- Dispenser 11&12
- Submersible Pump 91
- Submersible Pump F10
- Submersible Pump Diesel
- Submersible Pump E85
- Submersible Pump 95
- Submersible Pump 96
- Submersible Pump 98
- Vent Pipes
- Fill Point 91
- Fill Point F10
- Fill Point Diesel
- Fill Point E85
- Fill Point 95
- Fill Point 96
- Fill Point 98
- Vapour Recovery Point
- Manway Lid 91
- Manway Lid F10
- Manway Lid Diesel
- Manway Lid 95
- Manway Lid 96
- Manway Lid 98
- Canopy Structure
- Dip Point 91
- Dip Point F10
- Dip Point Diesel
- Dip Point E85
- Dip Point 95
- Dip Point 96
- Dip Point 98
- Other
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Other
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Photo of Equipment or item
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Equipotential Bonding - Detail (Connection Point)
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Photo of equipment or item
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Photo of Ex Rated Enclosure showing cable glands & terminations (with cover off)
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Photo of Ex Rated Enclosure showing cable glands & terminations (with cover on)
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Photo
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Photo
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Photo
